Barriers to Implementing the Kidney Disease Outcomes Quality Initiative End-Stage Kidney Disease Life Plan Guideline.

ABSTRACT:

Objective

The updated 2019 National Kidney Foundation Kidney Disease Outcomes Quality Initiative vascular access guidelines recommend patient-centered, multi-disciplinary construction and regular update of an individualized end-stage kidney disease (ESKD) Life-Plan (LP) for each patient, a dramatic shift from previous recommendations and policy. The objective of this study was to examine barriers and facilitators to implementing the LP among key stakeholders.

Methods

Semi-structured individual interviews were analyzed using inductive and deductive coding. Codes were mapped to relevant domains in the Consolidated Framework for Implementation Research (CFIR).

Results

We interviewed 34 participants: 11 patients with end-stage kidney disease, 2 care partners, and 21 clini

SUBMITTER: Keller MS 

PROVIDER: S-EPMC10651571 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature